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Unlisted Keyhole Stomach Operation

Ohio rates for HCPCS 43659

Covers a keyhole (laparoscopic) operation on the stomach for which no standard named service exists. The surgeon submits a written report describing exactly what was done, and the health plan reviews it individually to decide payment.

Rates data updated July 2026.

How much does Unlisted Keyhole Stomach Operation cost?

$4,169

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $2,399 from a physician practice, and about $6,761 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,399$646 to $4,169
FacilityA hospital or hospital-owned outpatient department$6,761$3,802 to $9,550

How much rates vary

Facilitymedian $6,761 · 10th to 90th $2,570 to $12,589Professionalmedian $2,399 · 10th to 90th $50 to $10,233
$0.1$1$10$100$1K$10Kfacility $6,761professional $2,399

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,918.31
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$3,090.30
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$4,365.16
Typical High
$21,877.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$72,443.60
Typical High
$79,432.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$75,857.76
Median
$75,857.76
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$5,495.41
Typical High
$17,782.79
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,454.71
Typical High
$17,782.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$50.12
Typical High
$50.12
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$9,332.54
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$5,888.44
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11

Where Ohio sits

The same service costs 6.0 times more in Indiana than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Ohio· 19th of 50

$4,169

IN $10,965AR $1,820

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.